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Opening The Shoulder Joint For Drainage

Virginia rates for HCPCS 23040

Opens the main ball-and-socket joint of the shoulder through an incision so the surgeon can look inside, wash out infected fluid, or take out a loose fragment or foreign object. It is most often done urgently for an infected joint.

Rates data updated July 2026.

How much does Opening The Shoulder Joint For Drainage cost?

$3,236

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $3,236 for this service. Most negotiated rates run $891 to $6,761.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,388 · 10th to 90th $759 to $8,913Professionalmedian $955 · 10th to 90th $646 to $1,288
$1K$2K$5K$10Kfacility $3,388professional $955

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$5,011.87
Typical High
$8,912.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$831.76
Typical High
$977.24
Medcost
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,202.26
Typical High
$1,659.59
Medcost
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$1,412.54
Sentara
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$912.01
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$8,709.64
Typical High
$17,782.79

Where Virginia sits

The same service costs 14.5 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 31st of 50

$3,236

IN $10,233WV $708

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.